| NPI | 1154441525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL SB02TA667) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003377A) |
| 152W00000X Optometrist (Licence: IL 046.010531) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2019-01-03 |